The Safe Start for Long-Term Care plan establishes criteria for long-term care facilities to permit visitation. The plan also offers guidance on trips outside the facility, communal dining and group activities, testing and screening, source control and PPE, and staffing.
- **Safe Start for Long-Term Care Recommendations & Requirements: Adult Family Homes, Assisted Living Facilities & Enhanced Services Facilities (effective 2/1/2021)
- PowerPoint Slides from DSHS webinars from 1/28/21 & 1/29/21
- DOH Risk Assessment Template and Letter for Community Visits
- DOH Definition of LTC Facility Outbreak
- **Sample Covid-19 Safe Start Visitation Policy
- **Sample AFH Barber-Beautician Attestation
- **Sample Essential Support Person (ESP) Policy
- Sample LTC Safe Start Visitation Protocol for Phases 1-3 (updated 11/2/20) (shared by Amy Thomas-thank you!)
- DOH Coronavirus Announcement for Visitors
- Visitor Screening Poster and Updated Visitor Log
Additional Sample Documents (shared by Jennifer Gastineau, ARNP-thank you!)
- Sample Letter to Families (recommend including these documents with the letter to the family-(What is Allowed Long-Term Care, LTC Outdoor Visits)
- Sample Caregiver Responsibilities for Visitation
- Updated Screening Questions (DOH screening questions and flow Chart):
- Fever (100.4 or more)
- Shortness of breath or difficulty breathing
- Muscle or body aches
- Recent loss of taste or smell
- Sore throat
- Nausea or vomiting
- Within the past 14 days, have you had contact with anyone that you know had COVID-19 or COVID-like symptoms? Contact is being 6 feet (2 meters) or closer for more than 15 minutes with a person, or having direct contact with fluids from a person with COVID-19 (for example, being coughed or sneezed on).
- Have you had a positive COVID-19 test for active virus in the past 10 days?
- Within the past 14 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection?
- Updated Screening Logs:
- Who to screen and when:
- Visitors prior to outdoor visits or entering facility (when allowed-see Safe Start for LTC)
- Residents screen daily and after returning from community outing
- Staff screened prior to each shift or daily if live-in (include other facilities/hospitals worked in)
- If positive for symptoms of Covid-19 (Hotline 1-800-562-6078 and local health department):
- Visitors: do not allow entry into the home and advise to get tested for Covid-19
- Residents: contact primary care physician and local health department to seek testing for Covid-19
- Staff: call the local health department to seek testing for Covid-19
- If tested positive for Covid-19
- Residents: report to the Hotline 1-800-562-6078 and local health department and those listed in resident’s care plan
- Staff: follow return to work guidance below
Visitation Restriction Required Under Governor’s Proclamation-clarification of definitions
In response to the increasing number of COVID cases across Washington State, Governor Inslee issued Proclamation 20-25.8 on November 15, 2020. This proclamation suspends Long Term Care (LTC) visitation requirements and social gatherings under the Safe Start for Long Term Care Plans through December 14, 2020. All indoor visitation is restricted except for:
- End of life (defined as “a sharp decline in health status”)
- If a resident is unable to participate in outdoor or remote visits an Essential Support Person is allowed to visit once daily for a compassionate care reason.
Click here to read the updated Dear Provider Letter from December 2, 2020. Under the Governor’s proclamations visits from health care providers are not restricted. A separate Dear Provider Letter lists some, but not all of the health care providers who are allowed into the home. All other parts of the LTC Safe Start Plans remain in effect and can be found here.